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Department of Veterans Affairs

VISN 16: South Central VA Health Care Network

Square Miles: 239,525

Veterans Enrollees: 696,742

States: 8

Senators: 16

Congressional Districts: 41

VAMCs: 11

CBOCs: 57

Vet Centers: 20

State Veterans Homes: 20

VBA Regional Offices: 5

National Cemeteries: 14

State Veterans Cemeteries: 4

Jack C. Montgomery Ernest Childers

Pawnee Service Unit

Outreach and Training for enrollment in VHA

Tele-Enrollment into VHA

Sharing Agreement for Direct Service

reimbursement

Use of Central Mail Order Pharmacy (CMOP)

Tele-health Services to enhance services

Pawnee Service Unit

Better Overall Patient Experience

Health Care Provided Closer to Home

Efficient Use of Health Care Resources

Use of Tele-health Technologies for care

Improved Coordination of Care

Content Format of Agreement (Present) General Provisions

Authorities

Definitions

Billing and Payment Methodologies

Co-Payments

Quality of Care

Medical Records

Privacy Standards

Rights of Veterans

No Waiver of Sovereign Immunity

Duration of the Agreement

Completed

Muscogee (Creek) Nation (effective 07/01/2012)

Initiated

Pawnee Service Unit (IHS)

Choctaw Nation of Oklahoma

Understanding Government-Government

No VHA-wide strategy for Agreements

Confusion remains about legal authority(ies)

No single VHA format developed

Each agreement may differ

Agreement language can be unwieldy

Each VAMC may differ in its approach

Agreements must be sustainable bi-laterally

Anticipate amendments in implementation

James R. Floyd, FACHE

Medical Center Director

1011 Honor Heights Drive

Muskogee, OK 74401

918.577.3644

James.floyd@va.gov